Case Manager-RN

Ahhmgt; Leesville (LA); On-site; USD 65,000 - 75,000; Full time

Job summary

Ahhmgt is seeking a Case Management RN to lead the utilization review and resource management efforts across the facility. The role involves planning, coordinating, and administering activities that support quality and cost-efficient patient care.

The incumbent will conduct daily chart reviews to determine medical necessity for admission and ongoing hospital stays, and will collaborate with clinical teams to optimize patient flow and outcomes.

Qualifications

• RN license preferred and active.
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Responsibilities

• Directs utilization review and resource management activities.
• Reviews daily medical records to assess admission/continuation/medical necessity.

Skills

Team Player

Detail Oriented

Education

Registered Nurse license

Job description

The Case Management RN is responsible for development, planning, coordination and administration of the activities of Utilization Review and Resource Management; responsibilities include facility wide direction of quality and cost efficient patient care. Including but not limited to daily review of medical records to determine appropriateness/medical necessity of admission, continued hospital stay and use of ancillary services.

Qualifications

Behaviors

Preferred

Team Player

Works well as a member of a group

Detail Oriented

Capable of carrying out a given task with all details necessary to get the task done well

Licenses & Certifications

Preferred

Registered Nurse

Equal Opportunity Employer
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